Pancho - ESP-ULI-97

Code: ESP-ULI-97
Mercy ID: V-03032-21
Encounter Date: 10/21/2009
Last: Espinoza
First: Ulises
DOB: 03/12/1997
County: Clayton
Street: 7022 Homestead Road
City: Rex
State: GA

Zip

30273-

Home

(678) 289-5833

Cell

(404) 735-6278

Family Status

Child/Youth

COB

Mexico

Gender

Male Child

Housing

Single Family

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Mercedes Sanchez	05/12/1973	Mexico
Father	Trinidad Espinoza	12/27/1967	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Rex Mill Middle School
Grade: 7th.
Who Can't Pickup the Child
Authoritation Parent: No
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: C. Martinez
Data Entry: J. Manzo